Training and qualification in gynecological minimal access surgery: a systematic review

We present the results of a systematic analysis to identify how simulation is used during training and qualification in minimal access surgery to improve Gynecologist´s surgical skills. We found that, despite the availability of simulation tools along with methods for training and testing specific endoscopic psychomotor and technical skills, there is no clear evidence of the superiority of one tool or method over the others in skill acquisition. However, prospective studies show that well-guided training courses combined with different trainers and methods improve significantly surgeon’s laparoscopic skills and suturing ability, which are unforgettable over time. However, this proficiency could deteriorate over time when is solely learned and executed on simulation trainers. Structured curricula including theory, simulation and live-surgery seems to be the best option for trainees. More research in this field is needed.
Source: Best Practice and Research Clinical Obstetrics and Gynaecology - Category: OBGYN Source Type: research